We are always in the business of reinventing ourselves as aesthetic medicine folks. Sometimes, what a seasoned veteran shares with us publicly is held in reverence and awe, because he insists that the results are ELEGANT.
But let's just step back for a few minutes and dissect this thing called elegance, following a treatment session with chemodermabrasion using an old fashioned (and arguably, obsolete) 25,000 rpm diamond fraise dermabrader followed by TCA 15-30% application.
I ,for one ,am not comfortable with the diamond fraise,which I believe should be relegated to the shelves of aesthetic museums.It is just too traumatic ,albeit a low cost alternative to costlier skin abrasion methods using hydrofacials and fraxel lasers.
TCA 30% is not a pleasant peel for first timers. You will be out of commission and forced to hibernate for at least 7 days following this aggressive peel,also known in the past as the Blue Obagi peel(blue dye + 30% TCA). It will cause a significant amount of scabbing,oozing,scabbing for at least 5-7 days.
Are you prepared to pay such a price, to look ELEGANT?
On the flip side, I have to say that TCA 30% can give you some amazing post peel results. I reinvented the wheel and tried my fortune with a neo concept which I call chemopalmabrasion.
I tried this on myself using only a gentle one layer peel after microcrystal palmabrasion,mentioned in my earlier blogs.
The results in the first 4-5 days? Significant scabbing, a bit of oozing,and scabbing under my eye bags and lateral forehead,nose and cheek. This necessitated hibernation for 3-5 days,lots of moisturisers and sunblock.
The greatest temptation is to pick on the loose SCABS.Advice-do not TOUCH.Let them fall off on their own to prevent complications. Lots of sunblock to prevent post treatment pigmentation.
So much about the double whammy peel. But rest assured, this does make one get that ELEGANT look after the first 5-7 days. I did it for myself because I am staying indoors with some office work this month. Otherwise, I would suggest the milder LA peel after abrasion.
Pics : day one to day 5
day 2 peeling and scabbing (under eye,forehead)
pic: below,changes on day five after scabs fall off and peeling lessens
This is a blog to acknowledge the heroic efforts of my Yemeni Arab friends who make efforts to change the lives of thousands of cleft and plastic surgery patients in this part of the Arab world.
Since 1998 , over six thousand mostly plastic surgery (general minor and major as well)and cleft patients from this nation as well as other surrounding Arab and East African nations were treated for free at our charitable missions.Over 97% of the medical team are local Yemeni Arabs,and not expats, except for the plastic surgeon and some of his close overseas friends.
One of the most significant accomplishments in Arab smile missions happened in a small and unknown Yemeni rural town called Yarim. When the Smile Train first launched the free cleft lip and palate programmes in January 2010 for underprivileged Yemeni families across the entire nation, Yarim General Hospital was the first to take on this mammoth challenge.
No promises or claims of registering thousands of cleft patients were announced to the internet press or media. Instead, the carefully chosen team decided to play by ear and give it their best shot.
The first week of text messaging by donor GSM companies brought in over 500 new registrations.The numbers swelled to over 1500 on less than two years. Most of the work came to a standstill after the Arab uprisings of 2011.
From January 2010 till September 2014 over 1336 cleft patients received that second chance at life.
The follow up surgeries as a result of the registrations now stand at over three thousand cleft patients.
One of the highest honours this project received was the invitation to present a poster session on the Arabia Felix Smile Train work for 1314 cleft children, at the April 72nd ACPA cleft craniofacial congress in Palm Springs California where delegates from all nations would be sharing their work and papers. I am pleased to inform you that as the submitting author, the following abstract has been accepted for a POSTER presentation at the 72nd Annual Meeting & Pre-Conference Symposia of the American Cleft Palate-Craniofacial Association (ACPA), to be held April 20-25, 2015 at the Westin Mission Hills hotel, Palm Springs, CA, USA. Congratulations, and we look forward to your presentation in Palm Springs next year.
Sincerely, Robert J. Havlik, MD 2015 Program Chair American Cleft Palate-Craniofacial Association
Yarim Govt Hospital team did an outstanding job in helping thousands of underprivileged Yemeni cleft lip and palate children and deserve honour for what they have achieved so silently.
So what's new in Aesthetic Medicine 2014? Thankfully for us, not too much has changed since the last conference in 2013. There was the usual talk on how to build your aesthetic business without being a one trick pony, salmon DNA related stuff,multipolar RF,stem cells,probiotics ,omega 3 and camu berries.But nothing out of the ordinary.
However,I found the conference stimulating and the sessions gave me much food for thought.
There were some presentations on the controversial topic of female genital rejuvenation and the use of fraxels intravaginally to improve sensual performance. A bit too early to comment on such ideas. We seem to be re inventing the same old concepts in newer packages.
For instance, what was presented on PRP as a filler is not completely accurate because PRP is a collagen stimulator within a week of injection and not really a filler.One would be more correct in calling it a fertilizer for collagen.
And personally, after many years in this sort of speciality and business, I would prefer to err on the side of extreme caution while strutting my aesthetic knowledge. The often sensational and power packed resale items often give way to more realistic and humbler outcomes in real practice.Also,I like to go by protocol and prefer evidence based medicine where there is ample data and retrospective analyses to show a technique really is a gold mine of sorts. When we first started out with lasers many years ago in the early 2000s in Singapore and elsewhere,there was a lot of excitement an we would pride ourselves as " laser persons" and all that bull. Today, we look back and realise that lasers are only a small ,albeit significant contribution to the plastic surgical world.And mesotherapy is not a well accepted or scientifically based treatment in plastic surgery.One has to be careful of making big claims about such procedures to well informed doctors in the plastic surgical world and even more ,to clients.
We still have miles an miles to go in this exciting world of aesthetic medicine.But only time tested procedures will last for generations.